| NPI | 1265098529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP020648) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: PA RN285962L) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-08-08 |